Lilias Gillies House

Updated 27 July 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by one inspector.

Service and service type

Lilias Gillies House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Lilias Gillies House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there was a registered manager in post

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with four people, four staff and the registered manager. We reviewed four care plans and risk assessments and the records for three staff. We reviewed medicines storage and medicines records and we checked the care home environment. We also reviewed the provider’s quality assurance and improvement processes.

Updated 27 July 2022

About the service

Lilias Gillies House is a residential service providing accommodation and therapeutic support to people with mental health needs. The service is registered to support up to 20 people in one adapted building. At the time of our inspection there were 13 people living in the service.

People’s experience of using this service and what we found

People felt safe and well supported. The provider assessed and managed people’s risks. Staff were recruited using procedures to ensure they were safe and suitable to provide care and support. The care home environment was clean and safe and the registered manager ensured health and fire safety checks were carried out regularly. Medicines were stored appropriately and recorded accurately. Lessons were learnt and improvements were made when things went wrong.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The service was well led. People and staff expressed confidence in the registered manager who had implemented changes leading to improvements. There was an open culture at the service and people felt empowered. People told us staff helped build their confidence and promoted their independence. Quality assurance systems and processes were in place to monitor and drive improvement. The service worked in partnership with others to meet people’s needs.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 6 April 2021). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this focused inspection to check whether the Warning Notice we previously served in relation to Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.